Marvin Walter Carroll, MD | |
3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | |
(800) 893-9698 | |
Not Available |
Full Name | Marvin Walter Carroll |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 3501 Knickerbocker Rd, San Angelo, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073547451 | NPI | - | NPPES |
133618214 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | K7257 (Texas) | Primary |
Entity Name | Brewster Emergency Medicine Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538218771 PECOS PAC ID: 1254430481 Enrollment ID: O20070628000245 |
Entity Name | San Angelo Emergency Medicine Associates, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588009807 PECOS PAC ID: 3577703818 Enrollment ID: O20130709000560 |
Mailing Address | Practice Location Address |
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Marvin Walter Carroll, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: () - | Marvin Walter Carroll, MD 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 Ph: (800) 893-9698 |
Dr. Lance Eliot Hafter, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-481-2104 Fax: 325-659-0180 | |
Michael Patrick Strayer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Kinickerbocker Rd, San Angelo, TX 76904 Phone: 800-893-9698 | |
Dr. Michael Raynard Magoon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 210-930-4504 | |
Dr. Scott David Hodge, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 | |
Dr. Samuel Joseph Kasberg, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Knickerbocker, San Angelo Community Medical Center, San Angelo, TX 76904 Phone: 325-947-6960 Fax: 325-947-6968 | |
Brett Jason Nile, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 Rigdecrest Lane, San Angelo, TX 76904 Phone: 324-245-4141 Fax: 325-245-4009 |